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HomeMy WebLinkAbout1508-0155 SUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE PLANNING &;DEVELOPMENT SERVICES Code Compliance Division IV BUILDING PERNIIT IV CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: 1 Z G State of Florida Certification Number (if applicable): 612aNA 6-Z&G_1'e-1C & A /C C cC/300637 have agreed to be the (Company Name/Individual Name) E t- E c; C-.! C4 L Sub -contractor for C LA 0 )Z B v c-,e S -W C. (Type of Trade) For the project located at (Primary Contractor) L,904 sC�lig4-4-106 1)2-, F f'Tt-2.c6 , rL 3yg,?2- (Project Street Address or Property Tax ID #) It is understood that, if there is any change of project, I will immediately advise the Change of Sub -contractor notice. (Form: BUSINESS QUALIFIER (Name of the NOTARIZED SIGNATURES ARE REQUIR Business Name: Address: City/State/Zip: Phone: regarding our participation with the above mentioned and Zoning Department of St. Lucie County by filing a (No. 004-00) shown on the Contractor's License) fZAA1 A E 6CCTJ2T-C 25- A / C I-n)C /7y 5-W )t)cjr0,-1 cl-p— Pc9-:r si ,?aZ-�'/3 - ZLG a email: (D � /,,, DATe STATE OF FLORIDA, COUNTY OF 5-,,J b T.an.s Ly&' THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS 1 `r DAY OF i' % , 20 J d� BY J 0 2 6 E, 6 e_.A.NA +j I L (A WHO IS PERSONALLY KNOWN OR HAS PRODUCED AS IDENTIFICATION. R hl.i N A A L t/ A-24 1) v (STAMP) SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC SLCPDS: 08/06/2014 RHINA ALVMADO ;1r Notary PuWlc - Stata o1 Florida ? • •: My Comm. Expires Nov 9, 2018 Commission # FF 175065 ,��' •lo��%% Bonded through National NotaryrAssn PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division St. Lucie County Contractor Certification Number: State of Florida Certification Number (If applicable): Jensen Beach Plumbing (Company Name/Individual Name) Plumbing (Type of Trade) PERMIT R AGREEMENT 11067372 Sub -contractor for De La Hoz Builders (Primary Contractor) have agreed to be the For the project located at 4904 Seagrape Ft. Pierce, FL (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDv (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Jensen Beach Plumbing Business Name: 9 Address: 1086 NE Industrial Blvd City/State/Zip: Jensen Beach, FL 34957 Phone: 772.225.6600 email: ibplumbincg@bellsouth.net Lonnie Culbertson SIONATUIR PRINT NAME STATE OF FLORIDA, COUNTY OF Martin 7/30/15 DATE THEFOREGOINGINSTRUMENT WAS SIGNED BEFORE ME THIS Sy DAY OF Au.1ij , 20 11S BY L (�'(� i� I �. o Ul 11QP�'lrl WHO IS PERSONALLY KNOWN _" OR HAS PRODUCED /A NA E OF NOTARY PUBLIC SLCPDS:12/Ib/2013 AS IDENTIFICATION. NAME OF NOTARY JACLYN F MLSON `• My COMMISSION #FF159777 �Ort EXPIRES November 8, 2018 388ois3 Flnrirf�ti r PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division I BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: j Z 6 G/ 0 State of Florida Certification Number (If applicable): !C A C ! G Z A ry A C-t E c r " C -Ae R JC , � c have agreed to be the (Company Name/Individual Name) a4 C- c N A,- s c4 C Sub -contractor for L A !-W -t 8 0 L C-0 E-e S, s u C (Type of Trade) (Primary Contractor) For the project located at q 9 O L{ SC -A G e_A? C J� e r f PT-C_Zc C ► -t 3 L 9.? Z (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: Cit /State/Zi : 6 z A,0 A& i_t= C T r C & A f C 1,PJ C. /L/y sw 6A-Z_as CI-4- POei s7 L U GT i= / FL 3 L/ Fr 3 Phone: 'ATUI&—y' STATE OF FLORIDA, COUNTY OF 1 N T AA-3 ! -=v&�- DATE THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS /J" DAY OF -Ju L, i , 20 / r BY SU 2. 6& G P_A,-+ A AyCLO WHO IS PERSONALLY KNOWN OR HAS PRODUCED SIGNATURE OF NOTARY PUBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. P_ i-I T. A A ( - VA-24 0 0 PRINT NAME OF NOTARY PUBLIC (STAMP) RNINA ALVARA00 Notcry public. s Noa 9. rida My Comm. Eta ' c com Isiou:0"175065 i ���5�+� 6and�dtMou�gMfanflMou!►�". PERMIT # �D� • (� ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building; & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (if applicable): i' Cs C / F/ y c- L A ptt) z 3 c = i 3 i"; - S , c- have agreed to be the K(Cin panName/Individual Name) f 0 h Sub -contractor for (Type of Trade) (Primary Contractor) For the project located at Z1 90 V -,6g-c CA-J? (: P e- , ' oar ?2 t59- C-6 (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: ) I✓ GA lq 8 U;y3 & s . Tl- 3 C Address: ZST )rC-L n oN-E, iZ) City/St ate/Zi S' 66-As 7-3� I � } 3 04 5"8 Phone: (�� � 2.2 Z �r ?a Z3 email: ��� �e 4 A o i -Z " `Q"'-n PRINT NAME DATE STATE OF F60RIDAV, NTY OF \`T 101 1 THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAYY OF n 1 IGI lase- , 20 tS J BY OSCDe La N CO Z. WHO IS PE, SONALLY KNO N OR HAS PRODUCED (-\� 14 4 "f- (7� o�� - SIGNATURE OF NOTARY PUBLIC SLCPDS: 08/06/2014 AS IDENTIFICATION. PRINT NAME OF NOTARY PUBLIC (STAMP) JENNIFER HANCE * MY COMMISSION # EE 164430 EXPIRES: January y�29, 2016 9�Oi nlr\® �7kuB*dN a9 f f — PLANNING AND DEVELOPMENT SERVICES DEPARTMENT E; ailding and Code Regulations Division BUILDING PERMIT SUB -CONTRACTOR SUMMARY hC (_ 4 P-02- je U LC'D G-QS , fft3 C will be using the following sub -contractors for the (Company/Individual Name) project located at y 9 0 L) s E-A G 2a ?E DC , �? c�, 3 yq PZ (Street address or Property Tax ID #) It is understood that if there is any change of status regarding the participation of any of the sub -contractors listed below, I will immediately advise the Building and Zoning Department of St. Lucie County. Trade Name of Company/Contractor St. Lucie County/ State of Florida License Number Electrical G P_4rJC—Cc-cu e C �r213 v/3 2! 0 I Plumbing . C-+0CE-IJ BC-AICP "PL uf-93LNG 2-F 110 6-43-72 i IIVAC/ Mechanical G t_" a ec cra' r C C4e / C-4-Ta Roofing b E LA-P�0�_ .Bur_0' t- _S , c C 6 C ) 'Ff Y 1 CI Gas II NUMBER: I � 5 �� � � �� I ISSUE DATE: I II Revised 07/29/2014